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Hemodynamic and gas exchange response to inhaled nitric oxide (INO), dobutamine, and to dobutamine plus INO in all patients. The baseline values presented are the means of the three baseline studies assessed before each challenge |
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| Baseline |
INO |
Dobutamine |
INO+Dobutamine |
|
|
|
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| Cardiac index (l/min/m2) |
3.2 ± 1.2 |
3.2 ± 1.2 |
4.7 ± 1.2** |
4.4 ± 1.2** |
| Heart rate (beats/min) |
87 ± 18 |
86 ± 17 |
113 ± 18** |
109 ± 19** |
| SVI (ml/m2) |
36 ± 10 |
37 ± 9 |
44 ± 16** |
41 ± 11** |
| CVP (mmHg) |
2.5 ± 2.8 |
3.1 ± 3.1 |
2.4 ± 2.5 |
2.7 ± 2.9 |
| MPAP (mmHg) |
26 ± 10 |
24 ± 9** |
31 ± 15* |
27 ± 12 |
| PAOP (mmHg) |
7 ± 3 |
7.4 ± 4 |
8 ± 4 |
7 ± 3 |
| MPAP-PAOP (mmHg) |
19 ± 10 |
17 ± 9** |
23 ± 14 |
20 ± 11 |
| PVRI (dyne/s/cm5/m2) |
535 ± 285 |
477 ± 293* |
441 ± 331 |
416 ± 265** |
| MAP (mmHg) |
86 ± 11 |
87 ± 10 |
86 ± 10 |
85 ± 10 |
| SVRI (dyne/s/cm5/m2) |
2363 ± 764 |
2348 ± 786 |
1346 ± 243** |
1614 ± 439** |
| Qs/Qt (%) |
23 ± 5 |
20 ± 5* |
26 ± 5** |
25 ± 7 |
| PaO2/FiO2 (mmHg) |
327 ± 90 |
418 ± 104** |
296 ± 90* |
390 ± 111** |
| PaCO2 (mmHg) |
51 ± 12 |
52 ± 12 |
51 ± 13 |
50 ± 13 |
|
*P < 0.05; **P < 0.01. CVP, cardiovenous pressure; INO, inhaled nitric oxide; MAP, mean systemic arterial pressure; MPAP, mean pulmonary arterial pressure; PAOP, pulmonary artery occluded pressure; PVRI, pulmonary vascular resistance index; SVI, systemic vascular index; SVRI, systemic vascular resistance index. | ||||
Vizza et al. Critical Care 2001 5:355 doi:10.1186/cc1069 |
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